SUMMER W PATEL
NPI 1144990177
Occupational Therapist in Charlotte, NC
NPI Status: Active since September 21, 2021
Contact Information
5114 PROVIDENCE RD
CHARLOTTE, NC
ZIP 28226
Phone: (704) 365-5252
- Individual
- Female
- Years of Experience 24
- Occupational Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About SUMMER PATEL
This page provides the complete NPI Profile along with additional information for Summer Patel, a provider established in Charlotte, North Carolina with a medical specialization in Occupational Therapist and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1144990177 assigned on September 2021. The practitioner's primary taxonomy code is 225X00000X with license number 14022 (NC). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1144990177
- Provider Name
- SUMMER W PATEL
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5114 PROVIDENCE RD CHARLOTTE, NC 28226
- Location Phone
- (704) 365-5252
- Mailing Address
- 506 DEERCROSS LN WAXHAW, NC 28173
- Mailing Phone
- (703) 969-0905
- Medical School Name
- OTHER
- Graduation Year
- 2002
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-21-2021
- Last Update Date
- 09-21-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Occupational Therapist
- Taxonomy Code
- 225X00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 14022
- License State
- NC
- Taxonomy Description
- An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Bronze Standard | Limited Statewide Doctors - POS
- Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Gold Standard | Limited Statewide Doctors - POS
- Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Silver Standard | Limited Statewide Doctors - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Summer Patel is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 4587056643
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220121001900
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 9 | 9 | 0 | 1 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 18 | 9 | 0 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 1 + 8 + 9 + 0 + 1 + 1 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1144990177 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447466297 | MRS. CASSANDRA TESTA P.T.A. Individual | Physical Therapy Assistant | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 364-8665 |
| 1023228236 | MRS. HEATHER A GAILUNAS P.T. Individual | Physical Therapist | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 364-8665 |
| 1326273145 | JO ANNE BAUCOM LPTA Individual | Physical Therapy Assistant | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 364-2485 |
| 1922236462 | MRS. AMY WINSTEAD GODWIN MPT Individual | Physical Therapist | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 366-4399 |
| 1730414608 | TARA TENNISON FITZGERALD PT Individual | Physical Therapist | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 900-0126 |
| 1912228735 | LEGACY HEALTHCARE SERVICES Organization | Clinic/Center (Rehabilitation) | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 364-2485 |
| 1487975686 | MRS. PATTI BURRIS DEATON COTA Individual | Occupational Therapy Assistant | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 364-2485 |
| 1265749535 | LEGACY HEALTHCARE SERVICES Organization | Health Maintenance Organization | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 364-2485 |
| 1942510490 | ANGELA NICHOLE SAWYER Individual | Occupational Therapy Assistant | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 366-2485 |
| 1043580129 | LEGACY HEALTHCARE SERVICES Organization | Occupational Therapist | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 365-5252 |
| 1376807800 | MR. NICHOLAS JAMES BRAND OTR Individual | Occupational Therapist | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 364-2485 |
| 1639411721 | AL ONE INVESTMENTS LLC Organization | Assisted Living Facility | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 365-5252 |
| 1396114344 | MICHELLE FLORIO MAITIN Individual | Speech-Language Pathologist | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 364-2485 |
| 1760947055 | JOSEPH RODRIGUEZ DPT Individual | Physical Therapist | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 365-5252 |
| 1568040871 | TATTIAUNA COUSER PTA Individual | Physical Therapy Assistant | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 365-5252 |
| 1770327603 | SAMANTHA FREE Individual | Physical Therapist | 5114 PROVIDENCE RD CHARLOTTE, NC 28226 (704) 365-5252 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144990177, enumerated in the NPI registry as an "individual" on September 21, 2021
The provider is located at 5114 Providence Rd Charlotte, Nc 28226 and the phone number is (704) 365-5252
The provider's speciality is Occupational Therapist with taxonomy code 225X00000X
The provider has more than 24 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 21, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.